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垂体增生导致视力缺陷。

Pituitary hyperplasia resulting in visual deficit.

作者信息

Altaib Wail Salah, Dablouk Mohamed Osman, Jansen Michael, Khan Mohammed Habibullah, Kamel Mahmoud

机构信息

Department of Neurosurgery, Cork University Hospital, Wilton, Cork, Ireland.

Department of Neuropathology, Cork University Hospital, Wilton, Cork, Ireland.

出版信息

Surg Neurol Int. 2023 Mar 24;14:104. doi: 10.25259/SNI_1107_2022. eCollection 2023.

DOI:10.25259/SNI_1107_2022
PMID:37025528
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10070337/
Abstract

BACKGROUND

Pituitary hyperplasia is an infrequent cause of visual disturbance and few such cases have been reported in the literature.

CASE DESCRIPTION

We describe the case of a 16-year-old female who presented with a short history of progressive headache and visual blurring. Examination revealed markedly constricted visual fields. Imaging revealed an enlarged pituitary gland. Hormonal panel was normal. Following endoscopic endonasal transsphenoidal biopsy and decompression of the optic apparatus, an immediate improvement in vision was noted. Final histopathological examination revealed pituitary hyperplasia.

CONCLUSION

In patients with pituitary hyperplasia, visual deficit, and no identifiable reversible causes, surgical decompression can be considered to preserve vision.

摘要

背景

垂体增生是导致视觉障碍的罕见原因，文献中报道的此类病例很少。

病例描述

我们描述了一名16岁女性的病例，她出现了病程较短的进行性头痛和视力模糊。检查发现视野明显缩窄。影像学检查显示垂体增大。激素检查结果正常。在内镜下经鼻蝶窦活检并对视器进行减压后，视力立即得到改善。最终组织病理学检查显示为垂体增生。

结论

对于患有垂体增生、视觉缺陷且无明确可逆病因的患者，可考虑手术减压以保留视力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7076/10070337/d805a3ed09c8/SNI-14-104-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7076/10070337/97b23bfbe5b6/SNI-14-104-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7076/10070337/568270f40340/SNI-14-104-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7076/10070337/9c0cba6cf6b7/SNI-14-104-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7076/10070337/47c7d2d075ac/SNI-14-104-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7076/10070337/d805a3ed09c8/SNI-14-104-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7076/10070337/97b23bfbe5b6/SNI-14-104-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7076/10070337/568270f40340/SNI-14-104-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7076/10070337/9c0cba6cf6b7/SNI-14-104-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7076/10070337/47c7d2d075ac/SNI-14-104-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7076/10070337/d805a3ed09c8/SNI-14-104-g005.jpg

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本文引用的文献

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Pituitary hyperplasia causing complete bitemporal hemianopia with resolution following surgical decompression: case report.垂体增生导致完全性双颞侧偏盲，手术减压后视力恢复：病例报告
J Neurosurg. 2020 Aug 14;135(1):147-151. doi: 10.3171/2020.5.JNS20448. Print 2021 Jul 1.
2
Physiologic pituitary hyperplasia causing visual disturbance during adolescence.青春期生理性垂体增生导致视力障碍。
J Clin Neurosci. 2019 Mar;61:279-281. doi: 10.1016/j.jocn.2018.11.016. Epub 2018 Nov 20.
3
Pituitary hyperplasia: case series and literature review of an under-recognised and heterogeneous condition.
垂体增生：一个未被充分认识且异质性疾病的病例系列及文献综述
Endocrinol Diabetes Metab Case Rep. 2015;2015:150017. doi: 10.1530/EDM-15-0017. Epub 2015 Jun 1.
4
Addison's disease with pituitary hyperplasia: a case report and review of the literature.艾迪生病伴垂体增生：一例病例报告及文献复习
Endocrine. 2009 Jun;35(3):285-9. doi: 10.1007/s12020-009-9179-x. Epub 2009 Apr 9.